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Constructing Mutants in Serotype 1 Streptococcus pneumoniae strain 519/43
Published on: September 11, 2020
Identification of an erm(A) erythromycin resistance methylase gene in Streptococcus pneumoniae isolated in Greece
G A Syrogiannopoulos1, I N Grivea, A Tait-Kamradt
1Department of Pediatrics, General University Hospital, University of Patras, School of Medicine, Patras, Greece. syrogian@med.upatras.gr
Abstract:
In a serotype 11A clone of erythromycin-resistant pneumococci isolated from young Greek carriers, we identified the nucleotide sequence of erm(A), a methylase gene previously described as erm(TR) in Streptococcus pyogenes. The erm(A) pneumococci were resistant to 14- and 15-member macrolides, inducibly resistant to clindamycin, and susceptible to streptogramin B. To our knowledge, this is the first identification of resistance to erythromycin in S. pneumoniae attributed solely to the carriage of the erm(A) gene.
Insights
Erythromycin resistance in Streptococcus pneumoniae is linked to the erm(A) gene, a first for this bacterium. This finding impacts understanding of antibiotic resistance mechanisms in pneumococci.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Streptococcus pneumoniae is a significant human pathogen.
- Antibiotic resistance in S. pneumoniae is a growing public health concern.
- Erythromycin resistance is often mediated by methylase genes.
Purpose of the Study:
- To identify the genetic basis of erythromycin resistance in a specific S. pneumoniae clone.
- To characterize the erm(A) gene in pneumococci.
Main Methods:
- Isolation of erythromycin-resistant Streptococcus pneumoniae serotype 11A from Greek carriers.
- Nucleotide sequencing to identify the resistance gene.
- Phenotypic characterization of macrolide and clindamycin resistance.
Main Results:
- The erm(A) methylase gene was identified in the erythromycin-resistant S. pneumoniae.
- Pneumococci carrying erm(A) exhibited resistance to 14- and 15-member macrolides.
- Inducible clindamycin resistance and susceptibility to streptogramin B were observed.
Conclusions:
- This is the first report of erythromycin resistance in S. pneumoniae solely due to the erm(A) gene.
- The erm(A) gene contributes to macrolide-Streptogramin B resistance phenotypes in pneumococci.
- Findings highlight the genetic diversity of antibiotic resistance mechanisms in S. pneumoniae.
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